NPIMap

Organization Active NPI

Garrison Family Medical Group Canyon Country

  • Specialist
  • Canyon Country, CA
National Provider Identifier
1205065570
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G50780 Issued in CA
Legal business name
GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY
Practice address
18520 Via Princessa
Suite C
Canyon Country, CA 91387-8326
Phone
(888) 333-2996
NPI assigned
Jul 8, 2009
Last updated
Jul 8, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
GARRISON FAMILY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Antonette Abatti
Title
Business Administrator
Phone
(661) 947-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G50780 CA Primary

Addresses

Primary practice location

18520 Via Princessa
Suite C
Canyon Country, CA 91387-8326

Mailing address

41210 11TH St W
Suite C
Palmdale, CA 93551-1447
Phone (661) 947-7100

National Provider Directory

National Provider Directory
Tax ID family
Garrison Family Medical Group Canyon Country4 organizations share this tax ID, including this one
Part of
Garrison Family Medical Group Canyon Country

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18520 Via Princessa
Ste C
Canyon Country, CA 91387
Phone (888) 333-2996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1205065570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41210 11TH ST W",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511447",
            "telephone_number": "661-947-7100",
            "fax_number": "661-947-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 VIA PRINCESSA",
            "address_2": "SUITE C",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913878326",
            "telephone_number": "888-333-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARRISON FAMILY MEDICAL GROUP",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "ABATTI",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "661-947-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G50780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.